David Alfonso Bolivar, MD in San Bernardino, CA

David Alfonso Bolivar, MD is a medicare enrolled "Internal Medicine" physician in San Bernardino, California. He graduated from medical school in 1976 and has 49 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Bolivar Family Medical Clinic A Medical Corporation and his current practice location is 598 N F St, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 888-8152.

David Alfonso Bolivar is licensed to practice in California (license number A33373) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801830609.

Contact Information

	David Alfonso Bolivar, MD
	598 N F St, San Bernardino, CA 92410-3110
	(909) 888-8152
	(909) 884-7530

Map and Direction

Physician's Profile

Full Name	David Alfonso Bolivar
Gender	Male
Speciality	Emergency Medicine
Experience	49 Years
Location	598 N F St, San Bernardino, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Alfonso Bolivar graduated from medical school in 1976

NPI Data:

NPI Number: 1801830609
Provider Enumeration Date: 06/15/2006
Last Update Date: 04/21/2025

Medicare PECOS Information:

PECOS PAC ID: 1355238718
Enrollment ID: I20040301000837

Medical Identifiers

Medical identifiers for David Alfonso Bolivar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801830609	NPI	-	NPPES
00A333732	Medicaid	CA
00A333730	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A33373 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bolivar Family Medical Clinic A Medical Corporation	4880630102	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Alfonso Bolivar allows following entities to bill medicare on his behalf.

Entity Name	Bolivar Family Medical Clinic A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215991534 PECOS PAC ID: 4880630102 Enrollment ID: O20050707000970

Entity Name	Quality Care Ipa Inland Empire, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881038628 PECOS PAC ID: 5597989202 Enrollment ID: O20140620000317

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Alfonso Bolivar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
David Alfonso Bolivar, MD 598 N F St, San Bernardino, CA 92410-3110 Ph: (951) 351-1600	David Alfonso Bolivar, MD 598 N F St, San Bernardino, CA 92410-3110 Ph: (909) 888-8152

Reviews and Comments

Internal Medicine Doctors in San Bernardino, CA

Dr. Richard James Moyer, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 399 E Highland Ave, Suite #227, San Bernardino, CA 92404 Phone: 909-886-5158 Fax: 909-883-4318
Dr. Hai Ngoc Dao, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8611 Fax: 909-881-5707
Dr. Cecil Caguioa Laqui, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 742 W Highland Ave, San Bernardino, CA 92405 Phone: 909-881-7320 Fax: 909-881-7330
Dr. Amanda Rose Van Mecl, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-881-4520
Sami Barham Nazzal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 399 E Highland Ave, Suite 307, San Bernardino, CA 92404 Phone: 909-881-7400 Fax: 909-881-5217
Nooshin Salehi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 565 N Mount Vernon Ave, San Bernardino, CA 92411 Phone: 909-884-9091 Fax: 909-383-7013
Juan Manuel Perez Quintana, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-881-4520

David Alfonso Bolivar, MD - Medicare Emergency Medicine in San Bernardino, CA